| NPI | 1245425305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08551) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2026-04-30 |